Contact Details

Address: ,

Email: [become a member to reveal details]

Tel: [become a member to reveal details]

Mobile: [become a member to reveal details]

Personal Details

Mothers occupation:

Fathers occupation:

For what length of time would you like your Au Pair to stay?: unspecified

Have you employed an Au Pair before?: no

Do you need an Au Pair that can drive?: no

Your Family

How many children do you have in your family?:

What ages are your children?: unspecified

Do you have any physically disabled children?:no

Do you have any children with learning difficulties or behavioural problems?: no

Is a new baby expected in the family?:no

Does anybody in your family smoke?:no

Your Home and Location

What type of location do you live in?:unspecified.

How many bedrooms do you have at your home?:

How many bathrooms do you have in your home?:

Do you have a garden?:no

Do you have any pets?:no

Do your children engage in any extra curricular activities?: